Editorial: Dismantling racism in education: In 2020, the year of the nurse & midwife, “it's time.”
"The plague of racism is insidious,
entering into our minds as smoothly
and quietly and invisibly as floating airborne microbes enter into our bodies
to find lifelong purchase in our bloodstreams"
individual
Mind (My) Education [Student - Teacher] Individual Ideology Cognitive bias INDIVIDUAL RACISM reflection - cultural humility
SUBJECTIVE
Covert Racism(What information I choose to share/not share) Mental Health Nursing Mental Health Disparities Healthcare Disparities (lived individual experience micro-MACRO aggressions) Cognitive access, languages NURSING?: "Abstracting the individual from | Body COVID crisis Physical Health (General) Nursing Covert Racism Overt Racism Geography - Areas Population Ethnicity Physical environment Statistical evidence - BAME/BIPOC population
OBJECTIVE
RACE: Physical access - Health access ->BURDEN OF DISEASE 'Placement' variation in experiences. Race in the curriculum - jaundice, "The colour of my skin is..." The visibility of 'whiteness' ..." (Visibility of gender in research...)
Silence is NOT (Profiling:) Racial
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the context of a racialised society through well-meaning attempts to individualise care must also be critiqued." "Nursing's ̳transcultural‘ or ̳multicultural‘ practices, where proficiency is measured by gaining more ― ethnocentric knowledge" Social Determinants of Health Socially determined health risks Covert Racism/subtle abuse (Information I don't read/hear of...) Overt Racism Interpersonal exchange: Outright abuse (criminal) Healthcare Disparities (as experienced collectively micro-MACRO aggressions) Sinophobic abuse of Asian/Chinese peoples Social isolation Social exclusion Social inclusion Social justice, fairness, equality, equity What does 'teamwork' really mean? Peer group (belonging)
STRUCTURAL
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neutral Violence
Education Inst.Diversity in Nurse Education Professors, Degree attainment ... Power: Faculty - Students - Race 'neoliberal discourse' Law & Order The 'Protected Characteristics' Codes of practice - Worldwide Institutional Ideology as 'sustained' in Org. Structures [policies, governance, audit, reporting] Covert Racism Overt Racism - Political Groups (even if banned) Employment - Short-list, Selection Tokenism Healthcare Disparities - measures - change? Visible BAME/BIPOC in Faculty "If you can‘t see one, you can‘t be one." #BlackLivesMatter curricula CHANGE championed by - Nursing and Midwifery leadership -
RACISM ............ "No SIIR!"
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The 'can of worms' that is SIIR infects, pervades and moves around each and all the care domains above and can affect the spiritual also. It can no longer evade individual, collective and institutional attention: action must follow.
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SIIR: structural, individual and ideological racism
A. Burnett, C. Moorley, J. Grant, et al., Dismantling racism in education: In 2020, the YEAR of the nurse & midwife, “IT'S time.”, Nurse Education Today (2020). https://doi.org/10.1016/j.nedt.2020.104532
https://www.sciencedirect.com/science/article/pii/S0260691720311916